| Promise Community Health Center | |
|
33 4th St Nw Sioux Center IA 51250-1870 | |
| (712) 722-1700 | |
| (712) 722-1770 |
| Full Name | Promise Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 33 4th St Nw, Sioux Center, Iowa |
| Authorized Official Name and Position | Emily Tuschen (CEO) |
| Authorized Official Contact | 7127221700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Promise Community Health Center 33 4th St Nw Sioux Center IA 51250-1870 Ph: (712) 722-1700 | Promise Community Health Center 33 4th St Nw Sioux Center IA 51250-1870 Ph: (712) 722-1700 |
| NPI Number | 1053582098 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 08/17/2022 |
| Medicare PECOS PAC ID | 3173696572 |
|---|---|
| Medicare Enrollment ID | O20080717000707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053582098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Colleen M Wurm King |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861400566 PECOS PAC ID: 8820030349 Enrollment ID: I20050525000444 |
| Provider Name | Belinda A Lassen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689734667 PECOS PAC ID: 3476611344 Enrollment ID: I20081021000726 |
| Provider Name | Daniel T Vandenbosch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588642367 PECOS PAC ID: 3274668462 Enrollment ID: I20100312000463 |
| Provider Name | Delwyn Lee Lassen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558346015 PECOS PAC ID: 9739210725 Enrollment ID: I20100708000987 |
| Provider Name | Valerie M Stokes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164776332 PECOS PAC ID: 4385895846 Enrollment ID: I20121108000647 |
| Provider Name | Daniel P Clousing |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225299407 PECOS PAC ID: 2264591668 Enrollment ID: I20131022002068 |
| Provider Name | Mindy Lou Dejager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841608148 PECOS PAC ID: 2668690793 Enrollment ID: I20140902001314 |
| Provider Name | Tana R Kass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649603168 PECOS PAC ID: 3476786377 Enrollment ID: I20160414001170 |
| Provider Name | Roleen Walgenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467569095 PECOS PAC ID: 5597947275 Enrollment ID: I20170623000670 |
| Provider Name | Kari Ney |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851947030 PECOS PAC ID: 0042541328 Enrollment ID: I20191017002108 |
| Provider Name | Emily A Leinen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033714167 PECOS PAC ID: 8123432036 Enrollment ID: I20210203002201 |
| Provider Name | Audra J Degroot |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427321496 PECOS PAC ID: 1355504192 Enrollment ID: I20210303002289 |
| Provider Name | Aric Waltz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609491422 PECOS PAC ID: 9032530498 Enrollment ID: I20210629000922 |
| Provider Name | Sarah Ann Hietbrink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558039495 PECOS PAC ID: 5092104968 Enrollment ID: I20211115001681 |
| Provider Name | Stacy Lynne Schaap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407588288 PECOS PAC ID: 5496138448 Enrollment ID: I20220824000552 |
| Provider Name | Jeannette L Hasley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477272078 PECOS PAC ID: 8022481027 Enrollment ID: I20230222000522 |
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